The ileocecal region is the site of the junction of the ileum and cecum, and under normal circumstances the lymph nodes in this area are small and are usually not visualized on imaging. If there are multiple enlarged lymph nodes, it is related to the inflammation and tumor of the organs in the nearby lymphatic drainage area.
1. Infection: the appendix grows in this area, when the appendix is inflamed, the inflammation stimulates the lymph nodes in the ileocecal region and lymph node enlargement occurs. In addition to lymph node enlargement, there will be high fever and chills, metastatic right lower abdominal pain and other clinical manifestations, as well as Mai’s point pressure, rebound pain and other signs. Once diagnosed, surgical treatment can be chosen to remove the diseased appendix.
In addition, intestinal tuberculosis, chronic colitis and other lesions may also lead to lymph node enlargement.
2. Metastasis of malignant tumor in the ileocecal region: when malignant tumor occurs in the body, it can be metastasized through lymphatic transfer, and multiple lymph nodes in the ileocecal region will be enlarged. In order to further clarify the diagnosis, colonoscopy, enhanced CT, ultrasound and other imaging examinations and laboratory tests can be performed. After the diagnosis is confirmed, surgery can be performed according to the specific conditions.
If lymph node enlargement in the ileocecal region is found, the patient should consult the general surgery department in time for early diagnosis and treatment.